Population Health Transformation Consultant

<p><em>Your Talent. Our Vision.</em>&nbsp; <strong>At Anthem, Inc.,</strong> it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will <strong>drive the future of health care.</strong></p>

Toledo - Northern Ohio

Anthem Inc. - Population Health Transformation Consultant

Anthem is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With over 74 million people served by its affiliated companies, including approximately 40 million within its family of health plans, Anthem is one of the nation's leading health benefits companies. https://antheminc.com/index.htm

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Individual Contributor

Overview: <p style="margin: 0in; margin-bottom: .0001pt;"><span style="font-family: 'Arial',sans-serif;">This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies.<br /><br /></span><strong>We currently have&nbsp;several openings for this position in our Ohio locations. Toledo preferred, however,&nbsp;will consider other OH locations.<br /><br /></strong>Responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.</p>
Responsibilities: Primary duties may include, but are not limited to: Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities, helps practice to target high risk Anthem members and gaps in care based on reports provided, supports practice implementation of population health management, care coordination and care management strategies, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums.&nbsp; Serves as the point of contact for providers and primary care practices for program on boarding, facilitation of routine meetings between Anthem and the provider office. Serves as the subject matter expert and liaison with Anthem Care Management to facilitate clinical processes between the company and the provider office, creates and hosts tailored learning opportunities to support the deployment of program interventions, hosts collaborative learning events that allow practices to learn from one another and national experts, use of the Provider Care Management Solutions (PCMS) tool and other data sources, and provides technical support for the Care Delivery Transformation program within the Enhanced Personal Health Care program. Collaborates with Enhanced Personal Health Care team and other program stakeholders, including but not limited to: CDT Market lead, Medicare Team,&nbsp; Enhanced Personal Health Care Provider Solutions team to meet provider and practice service needs.
Requirements: <p>Requires a BA/BS; 5-10 years health care experience; or any combination of education and experience, which would provide an equivalent background. Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics preferred. Desired additional skills: Medicare knowledge including STARs and HCC coding and medical cost management strategies. Clinical background and/or MBA, Six Sigma, or PMP not required but a plus.<br /><br /><strong><em>Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.</em></strong></p>